Health Affairs March 18, 2022
Amit Jain, Joseph Levy, Daniel Polsky, Kelly E. Anderson

Medicare Advantage (MA) has continued to gain popularity in recent years, accounting for more than 42 percent of the Medicare-eligible population in 2021. The penetration of MA plans among Medicare beneficiaries varies across states. More than 50 percent of beneficiaries in Florida and Minnesota are enrolled in MA plans. On the other end of the spectrum, Maryland and Vermont, the two states with all-payer health care payment models, have low MA penetration, with 12 percent and 13 percent MA enrollment, respectively.

In this piece, we explore the impact of the Maryland All-Payer Model (MD-APM) on MA entry and proliferation in the state.

Maryland All-Payer Model

MD-APM is a capitated payment model that functions through a Centers for Medicare and...

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